Mesa Springs Healthcare Center

7171 Buffalo Gap Rd · Abilene, TX · 79606 · 3256928080

89 certified beds For profit - Corporation Chain: The Ensign Group

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 46
Serious harm & abuse 20% 94
Staffing 20% 20
Federal penalties 15% 77
Trend 10% 79
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)1 · $8,190

Inspection citations (33 in the current record)

  • Potential for harm · D April 15, 2026 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 19, 2026

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected May 8, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E March 19, 2026

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 8, 2026 · Quality of Life and Care

  • Potential for harm · E March 19, 2026

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected May 8, 2026 · Quality of Life and Care

  • Potential for harm · E March 19, 2026

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected May 8, 2026 · Nutrition and Dietary

  • Potential for harm · E March 19, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 8, 2026 · Nutrition and Dietary

  • Potential for harm · F March 19, 2026

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Corrected May 8, 2026 · Administration

  • No harm found · B March 19, 2026

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Corrected May 8, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • No harm found · B March 19, 2026

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Corrected May 8, 2026 · Administration

  • No harm found · B March 19, 2026

    Provide training in compliance and ethics.

    Corrected May 8, 2026 · Administration

  • Potential for harm · D June 6, 2025 · found via complaint

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected June 30, 2025 · Resident Rights

  • Potential for harm · D June 6, 2025 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected June 30, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 16, 2025 · found via complaint

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected January 17, 2025 · Resident Rights

  • Potential for harm · D January 16, 2025 · found via complaint

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected January 17, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 16, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected January 17, 2025 · Quality of Life and Care

  • Potential for harm · D January 16, 2025 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected January 17, 2025 · Quality of Life and Care

  • Potential for harm · E January 16, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected January 17, 2025 · Pharmacy Service

  • Potential for harm · D January 16, 2025 · found via complaint

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected January 17, 2025 · Pharmacy Service

  • Potential for harm · E January 16, 2025 · found via complaint

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Corrected January 17, 2025 · Administration

  • Potential for harm · E January 16, 2025 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 17, 2025 · Nutrition and Dietary

  • Potential for harm · E January 16, 2025 · found via complaint

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Corrected January 17, 2025 · Nutrition and Dietary

  • Potential for harm · E January 16, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected January 17, 2025 · Infection Control

  • Potential for harm · D November 21, 2024 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected November 22, 2024 · Resident Rights

  • Potential for harm · D June 25, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected June 28, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 25, 2024 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected June 28, 2024 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
October 12, 2023Fine$8,190

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675645 · certified since December 4, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.